| NPI | 1306157102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY YU Director 718-266-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030327) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: F92378277) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2022-01-19 |